Duffield Volunteer Fire and Rescue Squad Inc

Key facts

NPI: 1295932341
Entity type: Organization (NPI type 2)
Primary specialty: Land Ambulance 3416L0300X
License: 00473 (VA)
Legal business name: DUFFIELD VOLUNTEER FIRE AND RESCUE SQUAD INC
Practice address: 1326 Industrial Park
Duffield, VA 24244-0297
Phone: (276) 431-2760
Fax: (276) 431-1760
NPI assigned: Jul 2, 2007
Organization subpart: No

Authorized official

Name: Roger Carter
Title: Chief
Phone: (276) 431-2760

Medicare participation

Medicare fee-for-service enrollment: Enrolled in VA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20080408000664	VA	Part B Supplier - Ambulance Service Supplier	7113004607	Practice locations: Duffield, VA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Land Ambulance	3416L0300X	00473	VA	Yes

Addresses

Primary practice location

1326 Industrial Park
Duffield, VA 24244-0297

Mailing address

PO Box 3348
Spartanburg, SC 29304-3348
Phone (864) 280-7040

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 25, 2022.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1295932341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3348",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293043348",
            "telephone_number": "864-280-7040",
            "fax_number": "864-280-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 INDUSTRIAL PARK",
            "city": "DUFFIELD",
            "state": "VA",
            "postal_code": "242440297",
            "telephone_number": "276-431-2760",
            "fax_number": "276-431-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUFFIELD VOLUNTEER FIRE AND RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "276-431-2760"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "00473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duffield, VA

All providers in Duffield, VA · Land Ambulance in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.